304371212-4-20-2026-06-CC-KNAR-DTBQE5-20260420120547

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371212
Report Date: 04/20/2026
Date Signed: 04/20/2026 12:05:53 PM

Document Has Been Signed on 04/20/2026 12:05 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	LEPORT-IRVINE ORCHARD HILLS		FACILITY NUMBER:	304371212
ADMINISTRATOR/ DIRECTOR:	RATNAYAKE, AYANTHI		FACILITY TYPE:	850
ADDRESS:	3983 PORTOLA PARKWAY		TELEPHONE:	(408) 973-7337
CITY:	IRVINE	STATE: CA	ZIP CODE:	92602
CAPACITY: 98	TOTAL ENROLLED CHILDREN: 68	CENSUS: 61	DATE:	04/20/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	DIrector-Ayanthi Ratnayake		TIME VISIT/ INSPECTION COMPLETED:	12:25 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 4/20/2026 Licensing Program Analyst (LPAs) K. Navar conducted an unannounced Case Management – Incident visit to investigate 2 (two) unusual incident reports filed with the office on 4/10/2026 and 4/14/2026. Upon arrival, the LPA met with Facility Representative Ayanthi Ratnayake and informed them of the purpose of the visit. The census at the time of the visit was 61 children and 8 staff present. A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance. On 4/10/2026 The Department received an incident report stating that on 4/10/26 1(one) staff (S4) took 4 children through the hallway that leads to the back classroom door to let the class in through the front classroom door due to the front classroom door being locked. 2 staff (S2-S3) who were in the staff room that is connected to the hallway heard a child #1 (C1) crying in the hallway. S3 took C1 to the classroom and called admin. On 4/14/2026 The Department received an incident report stating that on 4/13/2026 Another student let S5 know that child #2 (C2) fell & got hurt. S5 approached child #2 (C2) and began the steps for first aid with an ice pack and called admin (S1) and (S6). During facility inspection on 4/20/2026 LPA toured the facility with Ayanthi, interviewed 3 (three) staff (S1, S2, and S5), took video footage, obtained Training Agenda and Signatures of staff present. Continue to page 2.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LEPORT-IRVINE ORCHARD HILLS	FACILITY NUMBER: 304371212
	VISIT DATE: 04/20/2026

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Facility Representative walked LPA Navar through the steps of what took place on 4/10/2026 the day of the incident. LPA observed that you use a keypad to enter the glass door and then walk down the hallway that is connected to an open space with tables, chairs, sink, Room 5 back classroom door. During staff interviews with 2 (two) staff, 2 staff stated that there were two staff members (1 staff member interviewed this date) that the room the hallway is linked to is the staff break room and on the day the 4 children and 1 staff member used the hallway to enter the classroom there were 2 staff members S2 and S3 present when they heard C1 crying in the hallway. 2 (two) staff interviewed stated that S3 had taken C1 into Room 5 and let S4 know that C1 was in the hallway crying. S1 stated that training has been provided since the day of the incident and that S4 is no longer working at the facility.

During observations and interviews with 2 (two) staff regarding Unusual incident recorded on 4/14/2026. Facility representative and LPA observed playground structure, teachers position on playground, and discussed what supervision looked like the day of the incident of 4/13/2026. 2 (two) staff interviewed stated there was 1 sub teacher (S4) who was positioned next to the structure on one side of the playground and the second staff member S5 was positioned next to the maze activity board in the center of the playground and was assisting a child C3. 2 staff interviewed stated C4 approached S5 and informed S5 that C2 had been hurt. S5 then went and assisted C2 with first aid. 2 staff interviewed stated that supervision was provided and the sub was near the incident, but the children are more comfortable with S5 and went and informed S5 of the incident.

Further investigation is needed to make a determination about the allegations. If any deficiencies are observed, disclosed, or discovered during today’s visit, they will be addressed and cited at a later date.

An exit interview was conducted with Facility Representative Ayanthi Ratnayake. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.

END.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2026

LIC809 (FAS) - (06/04)

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